CMS Price Transparency Data
Breathing treatment (nebulizer)
Facility: St Clair Hospital
Billing Code: 94640 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$111
about 0.5× the $224 Medicare rate · typically $19–$257
modeled estimate · not a bill or quote
Medicare pays $224 Fair price $111 Cash price $51 Hospital's list price $207
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $213 - $700 | 95% |
| Blue Cross Blue Shieldmajor | $190 - $477 | 85% |
| Aetnamajor | $220 - $572 | 98% |
| Cignamajor | $222 - $489 | 99% |
| Humanamajor | $213 | 95% |
| AmeriHealth | $213 | 95% |
| Geisinger | $220 | 98% |
| HealthPartners | $224 | 100% |
| UPMC Health Plan | $12 - $213 | 5% |
| + 3 smaller / regional plans | $222 - $512 |
Self-Pay How to get the cash price
Insurance Before you use insurance
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Other Procedures at St Clair Hospital
Compare: Breathing treatment (nebulizer) at other PA hospitals
- Chan Soon- Shiong Medical Center at Windber · Windber $25
- Jefferson Abington Hospital · Abington $28
- Grove City Medical Center · Grove City $32
- Magee Memorial Hospital for Convalescents · Philadelphia $32
- Titusville Area Hospital · Titusville $33
- Jefferson Lansdale Hospital · Lansdale $37
- UPMC Muncy · Muncy $41
- Allegheny Valley Hospital · Natrona $42
Insurance negotiated median for the same procedure, sorted lowest first.